Permit ' Building RECEI �/ E ermit Application
Commercial IJEC 1 3 ZOO? FOR OFFICE USE ONLY
City of Tigard CITY UGAAD Date/By: i ,o7 , , Permit N o .: 7 - ‘40
/n
13125 SW Hall Blvd., Tigard, OR 97223
III C Phone: 503.639.4171 Fax: 503.598.1960 BULL MODIVISIOI" P t o, i 1 (2_117 tip other Permit:
r I G n It I) Inspection Line: 503.639 Date Ready, : y: /� 7 07 /' �_ �� El See Page 2 for
Internet: www.tigard- or.gov Notified/Method: / ! / (rW ( Supplemental information
TYPE OF WORK Q UIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling %Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ) .s,?...) pg 4 4 New dwelling area: square feet
City/State /ZIP: 77/ i . (94 . Garage /carport area: square feet
Suite/bldg. /apt. no.: a, Project name: ....ty ` - art.. 4_ Ap .Jj ` Covered porch area: square feet
Cross street/directions to ob site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Valuation: $ ? DOO • 00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER XTENANT Number of stories:
Name: L J,tfl'11 5h ae/ 4I4 ) - I Type of construction:
Address: / 5 clot SW px[fiC 44 w./ -1'e . G . Occupancy groups:
City/State /ZIP: 7? 4 / 0 e • 97 99-3 Existing:
Phone: (SQ3) (j)3 — 0759 Fax: (Sb3) ( .3 — cs7S C3 New:
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: E n(ZO T 7T ItA AAas ar Q wij frig S er iceY' All contractors and subcontractors are required to be
Contact name: J(� 1 D G�C•C l -� r � 3_ licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 latceM • c'/, Th ` C 1 /1 / �� jurisdiction in which work is being performed. If the
City/State /ZIP: ` 7 6? 412 O f • Cl "1 ; o Z ( 9 3 applicant is exempt from licensing, the following reasons
apply:
Phone: Kb; ) 70/ 2 ' 3 Fax: : (562, ) (003 -6 Sey
E -mail: )a...v QS VIP e HD4nruY •GOrn .
CONTRACTOR //
Business name: e y Cd 61/t a &NS/ rr0 A.) BUILDING PERMIT FEES'
Address: 12.7 3S ' / f_ C� (Please reje.mjeesehedule) J / 2
City /State /Z1P: ; /` a/9 o 2 y7 P-2-3 Structural plan review fee (or deposit): J/� tFJ
/ FLS plan review fee (if applicable): As", e
Phone: (55) 537 53'....4 90 Fax: ( )
CCB lic.: A do 2j Total fees due upon application: (C/J^� �P3
Amount received t uis
Authorized signatur . This permit applicati expires if a permit is not obtained
within 1 80 days aft it has been a ccepted as complete.
Print name:
iAPIIIIII P ate: • Fee methodology set by Tri -County Building Industry
Service Board.
I: \Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
•
NI Building Division
C .
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering. [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07
CITY OF TIGARD , .
BUILDING DIVISION PERMIT #: BUP2007 -00536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007
Phone: (503) 639- 4171 +�' °�
Inspection Requests (24 Hrs.): (503) 639 -4175 _ ' ' 'IL.
INSPECTION WORKSHEET FOR DATE: 4/9/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 13599 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ENZO FAMILY MASSAGE
DESCRIPTION: TI
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503-539 -6790
Inspection Request Scheduled For: Date: 4/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 068102 -01 503-701-9783 N
Corrections/Comments/Instructions:
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ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: t+/Co 3 Phone #: (503) 718- 2)f Zy
1 CITY OF TIGARD . • ,
I . BUILDING DIVISION PERMIT #: BUP2007 -00536
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /2/1 712007
Phone: (503) 639 -4171 ;.'i
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I L.
INSPECTION WORKSHEET FOR DATE: 418/2008 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 13999 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ENZO FAMILY MASSAGE
DESCRIPTION: TI
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503 - 539.6790
Inspection Request Scheduled For: Date: 4/8/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 068026-01 503701 -9783 N
Corrections /Comments /Instructions:
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ilL r.� � i /ice J .. • �' L 1 1 t 1
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
E---FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 9 - 4 —0l Phone #: (503) 718- -Z---Cer2C.
CITY OF TIGARD ,
BUILDING DIVISION PER #: EUP2007- 005:16
13125 SW Hall Blvd., Tigard, OR 97223 DATE I ED: 1aJ17/2007
Phone: (503) 639 -4171 14 t 5
Inspection Requests (24 Hrs.): (503) 639 -4175 . �!4 ° `'I —
INSPECTION WORKSHEET FOR DATE: 4/2/2008 TIME: 7: 00AM PAGE: 45
SITE ADDRESS: 13599 SW PACIFIC HWY \ /1 1t CLASS OF WORK:
SUBDIVISION: LOT #: (' TYPE OF USE:
PROJECT NAME: ENZO FAMILY MASSAGE ,
DESCRIPTION: TI 7
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE AF3RAHAMSON CONSTRUCTION PHONE #: 503 -r39 -6790
Inspection Request Scheduled For: Date: 412/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
209 Final inspection 067703-01 503- 701 -9783 N
Corrections /Comments /Instructions:
6G E .Ci - 6 a4 4 ( ,, - o r r (•A ' 0..-
1 o oi f't*. fc , ,i1
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❑ PASS . ,3 I PARTIAL APPROVAL [11 CANCEL 111 NO ACCESS
[FAIL 0' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cl V Date: L4/7/ 0 Phone #: (503) 718- 24 Z1
CITY OF TIGARD, - . 17A fl.. 06lA
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 !,Lf��
INSPECTION WORKSHEET FOR DATE: _l/ /() ► TIME: PAGE:
SITE ADDRESS: 1 ,? -A- 1 c74 \_-Y,(7. CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: _
DESCRIPTION: lI v Y o _ _
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
i A 5 6t. ) - 1 - . - 1 5 e L 1 ; (-
Corrections /Comments /Instructions:
al , ° 9 e/d/LAel% 6 ) -. (5 ) : 1/1° 200 — 0 c) 6:3 c ( 7--z
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- \' 1 .'10•■_2 9 r - 1 ‘ (c.y „ ■.,v•-.0 ,c, 4
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (1 [� Date: ��' / err 2°42-4
Phone #: (503) 718-
CITY OF TIGARD .
I I BUILDING DIVISION PERMIT #: BUP2007 00636
AA 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 17117 1 2007
Phone: (503) 639 -4171 IN �i � �i >a
Inspection Requests (24 Hrs.): (503) 639 -4175 �' P ._..
INSPECTION WORKSHEET FOR DATE: 12/21/2007 TIM • 7 :03AM PAGE: 58
SITE ADDRESS: 13599 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ENZO FAMILY MASSAGE
DESCRIPTION: TI
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503- 539-6790
Inspection Request Scheduled For: Date: 17J21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 062013 -01 503 - 701 -9783 N
Corrections /C ments /Instructions: t
14 y ) v Veob? '-- cogs 6k1 t�C1�,
6LJ SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 ' (�' Date: >/ 7 Phone #: (503) 718 - r I
CITY OF TIGARD. ...
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BUILDING DIVISION PERMIT #: BUP2007-00636
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/170007
Phone: (503) 639 -4171 �'�
Inspection Requests (24 Hrs.): (503) 639 -4175 `'� � ..
INSPECTION WORKSHEET FOR DATE: 12/20/2007 T E: 7:01AM PAGE: 22
SITE ADDRESS: 13599 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: X170 FAMILY MASSAGE
DESCRIPTION: TI
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE ABRAHAMSON CONSTRUCTION PHONE #: 503 - 539-6790
Inspection Request Scheduled For: Date: 12/20/2047 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
275 Framing 061939.01 503-701-9783 N
Correcti ns /C mments /Instr tions:
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11] PA _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: t' : Date: t �/ �� Phone #: (503) 718 -2'� 24
CITY OF TIGARD „ " _:
BUILDING DIVISION PERMIT #: BUP20t)7.00g3g
13125 SW Hall Blvd., Tigard, OR 97223 "`DATE ISSUED: 12/i7/2t.0f17
Phone: (503) 639 -4171 1s r�
Inspection Requests (24 Hrs.): (503) 639 -4175 °' ��
INSPECTION WORKSHEET FOR DATE: 12/19!2007 TIME: 7 PAGE: 50
SITE ADDRESS: 13599 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ENZO FAMILY MASSAGE
DESCRIPTION: TI
OWNER: HORTON, DENNIS PHONE #:
CONTRACTOR: BRUCE ABRAHAIvISON CONSTRUCTION ` jo PHONE #: 503 - 639 -67h0
Inspection Request Scheduled For: Date: 12/19/2007 Pour Time: q ' 1/"
Code # Inspection Description Confirm # Contact # Message
276 Framing 061796-01 503 701 -9783 N V
Corrections /Comments /Instructions:
I
N 0 OttiLr: 4 2-e.t.%-c.-7( .
•
❑ PASS ❑ PARTIAL APPROVAL 6° CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Vii
Date: 1 I 6 8- 7 Phone #: (503) 7181A -1 1